Pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes

Juliane Matlach, Joerg Slobodda, Franz Grehn, Thomas KlinkDepartment of Ophthalmology, University of Wuerzburg, Wuerzburg, GermanyPurpose: To assess the outcomes of pars plana vitrectomy for the treatment of malignant glaucoma in patients with and without previous filtration surgery.Patients and met...

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Autores principales:	Matlach J, Slobodda J, Grehn F, Klink T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/45df5f5c2fa44ca0a4972333f7e94ba3
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spelling	oai:doaj.org-article:45df5f5c2fa44ca0a4972333f7e94ba32021-12-02T02:07:26ZPars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes1177-54671177-5483https://doaj.org/article/45df5f5c2fa44ca0a4972333f7e94ba32012-11-01T00:00:00Zhttp://www.dovepress.com/pars-plana-vitrectomy-for-malignant-glaucoma-in-nonglaucomatous-and-in-a11612https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Juliane Matlach, Joerg Slobodda, Franz Grehn, Thomas KlinkDepartment of Ophthalmology, University of Wuerzburg, Wuerzburg, GermanyPurpose: To assess the outcomes of pars plana vitrectomy for the treatment of malignant glaucoma in patients with and without previous filtration surgery.Patients and methods: Data of 15 patients developing malignant glaucoma after trabeculectomy (60%) or following ophthalmic interventions other than filtration surgery (40%) were recorded retrospectively. Pars plana vitrectomy was performed in case of failed medical or laser treatment recreating the normal pathway of aqueous humor. The main outcome measures were the postoperative intraocular pressure (IOP), the frequency of complications, and success rate based on the following criteria: IOP reduction by &ge;20% and to &le;21 mmHg (definition one) or an IOP &lt; 18 mmHg (definition two) with (qualified success) and without (complete success) glaucoma medication.Results: Vitrectomy reduced IOP from baseline in eyes with and without previous trabeculectomy during a median follow-up of 16.4 months (range 7 days to 58 months); although the majority of patients required glaucoma medication to reach desired IOP. The complete success rates were 11% (both definitions) for patients with filtering blebs and none of the patients without previous trabeculectomy had complete success at the 12-month visit. Complications were few and included transient shallowing of the anterior chamber, choroidal detachment, corneal decompensation, filtering bleb failure, and need for further IOP-lowering procedures.Conclusion: Pars plana vitrectomy is equally effective for malignant glaucoma caused by trabeculectomy or interventions other than filtration surgery, although IOP-lowering medication is necessary in nearly all cases to maintain target IOP.Keywords: ciliolenticular block glaucoma, malignant glaucoma, pars plana vitrectomy, trabeculectomyMatlach JSlobodda JGrehn FKlink TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1959-1966 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Matlach J Slobodda J Grehn F Klink T Pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes
description	Juliane Matlach, Joerg Slobodda, Franz Grehn, Thomas KlinkDepartment of Ophthalmology, University of Wuerzburg, Wuerzburg, GermanyPurpose: To assess the outcomes of pars plana vitrectomy for the treatment of malignant glaucoma in patients with and without previous filtration surgery.Patients and methods: Data of 15 patients developing malignant glaucoma after trabeculectomy (60%) or following ophthalmic interventions other than filtration surgery (40%) were recorded retrospectively. Pars plana vitrectomy was performed in case of failed medical or laser treatment recreating the normal pathway of aqueous humor. The main outcome measures were the postoperative intraocular pressure (IOP), the frequency of complications, and success rate based on the following criteria: IOP reduction by &ge;20% and to &le;21 mmHg (definition one) or an IOP &lt; 18 mmHg (definition two) with (qualified success) and without (complete success) glaucoma medication.Results: Vitrectomy reduced IOP from baseline in eyes with and without previous trabeculectomy during a median follow-up of 16.4 months (range 7 days to 58 months); although the majority of patients required glaucoma medication to reach desired IOP. The complete success rates were 11% (both definitions) for patients with filtering blebs and none of the patients without previous trabeculectomy had complete success at the 12-month visit. Complications were few and included transient shallowing of the anterior chamber, choroidal detachment, corneal decompensation, filtering bleb failure, and need for further IOP-lowering procedures.Conclusion: Pars plana vitrectomy is equally effective for malignant glaucoma caused by trabeculectomy or interventions other than filtration surgery, although IOP-lowering medication is necessary in nearly all cases to maintain target IOP.Keywords: ciliolenticular block glaucoma, malignant glaucoma, pars plana vitrectomy, trabeculectomy
format	article
author	Matlach J Slobodda J Grehn F Klink T
author_facet	Matlach J Slobodda J Grehn F Klink T
author_sort	Matlach J
title	Pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes
title_short	Pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes
title_full	Pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes
title_fullStr	Pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes
title_full_unstemmed	Pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes
title_sort	pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/45df5f5c2fa44ca0a4972333f7e94ba3
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Pars plana vitrectomy for malignant glaucoma in nonglaucomatous and in filtered glaucomatous eyes

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